Individual
SUZANNE BENLOUCIF-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP F, ANN ARBOR, MI 48109-5856
(888) 287-1082
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704158416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4441077
—
MI
Enumeration date
12/11/2006
Last updated
08/08/2012
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